Hospital Costs > In New Jersey > Shore Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 28 | $54.579,00 | 1242 / 19 | $6.420,00 | 427 / 8 | $5.346,00 | 426 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 55 | 70 / 17 | $94.868,20 | 1678 / 36 | $12.971,40 | 847 / 35 | $9.856,47 | 846 / 18 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 21 | $31.618,80 | 611 / 10 | $4.934,77 | 459 / 11 | $4.175,69 | 456 / 20 |
| Atherosclerosis W/O Mcc | 14 | 44 / 17 | $32.403,60 | 473 / 13 | $4.129,29 | / 12 | $3.044,21 | / |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 30 | 36 / 2 | $77.855,30 | 455 / 8 | $12.561,80 | 319 / 3 | $11.446,30 | 317 / 6 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 28 | 61 / 6 | $45.089,00 | 542 / 11 | $7.169,36 | 379 / 4 | $5.876,07 | 378 / 8 |
| Bronchitis & Asthma W Cc/Mcc | 25 | 51 / 16 | $38.358,60 | 863 / 9 | $5.858,92 | 394 / 9 | $4.541,32 | 390 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 60 | 101 / 19 | $42.063,50 | 1944 / 17 | $5.450,30 | 632 / 17 | $3.948,90 | 629 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 60 | 63 / 12 | $76.262,50 | 1821 / 37 | $8.405,73 | 979 / 21 | $7.098,45 | 976 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 54 | 96 / 22 | $33.360,70 | 1837 / 27 | $3.810,81 | 608 / 14 | $2.523,09 | 604 / 15 |
| Cellulitis W Mcc | 15 | 43 / 18 | $94.785,70 | 938 / 35 | $11.600,70 | 757 / 25 | $10.475,80 | 755 / 31 |
| Cellulitis W/O Mcc | 101 | 88 / 23 | $41.276,40 | 2437 / 26 | $5.763,04 | 1269 / 17 | $4.495,63 | 1263 / 19 |
| Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 8 | $80.684,90 | 673 / 12 | $14.954,10 | 607 / 3 | $13.723,10 | 604 / 8 |
| Chest Pain | 29 | 122 / 25 | $36.770,00 | 1536 / 30 | $4.065,48 | 478 / 12 | $2.901,90 | 475 / 10 |
| Chronic Obstructive Pulmonary Disease W Cc | 92 | 87 / 15 | $48.956,10 | 2229 / 25 | $6.193,04 | 1286 / 13 | $5.259,03 | 1281 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 69 | 133 / 24 | $57.824,40 | 2323 / 21 | $7.647,00 | 1441 / 14 | $6.757,64 | 1435 / 15 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 29 | $38.828,20 | 1929 / 21 | $4.672,04 | 762 / 10 | $3.542,42 | 759 / 16 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 24 | $136.790,00 | 871 / 34 | $15.355,60 | 651 / 16 | $14.384,30 | 644 / 22 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 36 | $88.174,20 | 1596 / 40 | $7.112,59 | 531 / 10 | $5.501,23 | 529 / 6 |
| Degenerative Nervous System Disorders W/O Mcc | 19 | 59 / 20 | $49.434,60 | 769 / 17 | $6.983,11 | 432 / 15 | $5.800,05 | 432 / 16 |
| Diabetes W Cc | 20 | 72 / 24 | $49.177,60 | 1532 / 31 | $5.532,65 | 837 / 13 | $4.769,45 | 833 / 23 |
| Diabetes W Mcc | 12 | 45 / 16 | $57.755,30 | 621 / 7 | $9.120,17 | 424 / 6 | $8.885,42 | 424 / 12 |
| Digestive Malignancy W Cc | 13 | 34 / 13 | $59.931,80 | 344 / 11 | $8.695,54 | 133 / 6 | $7.060,08 | 132 / 7 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 12 | $73.560,20 | 432 / 6 | $10.792,00 | 121 / 1 | $10.094,00 | 121 / 1 |
| Disorders Of The Biliary Tract W Cc | 12 | 42 / 14 | $64.766,80 | 444 / 15 | $6.951,00 | 163 / 4 | $5.905,83 | 163 / 5 |
| Dysequilibrium | 11 | 54 / 19 | $41.065,70 | 513 / 19 | $4.490,55 | 81 / 8 | $2.649,91 | 81 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 28 | $76.503,00 | 1398 / 35 | $8.552,62 | 914 / 15 | $7.817,75 | 909 / 20 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 109 | 166 / 22 | $43.955,30 | 2562 / 37 | $5.118,26 | 1257 / 16 | $3.933,39 | 1246 / 18 |
| Extracranial Procedures W/O Cc/Mcc | 14 | 84 / 15 | $48.473,80 | 753 / 18 | $7.126,86 | 416 / 8 | $5.517,64 | 415 / 6 |
| Fever | 12 | 34 / 12 | $38.162,20 | 282 / 10 | $5.649,25 | 113 / 3 | $4.615,08 | 113 / 6 |
| Fractures Of Hip & Pelvis W/O Mcc | 21 | 40 / 15 | $37.306,10 | 835 / 20 | $4.617,71 | 307 / 9 | $3.488,62 | 308 / 9 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 18 | 44 / 15 | $37.211,70 | 698 / 14 | $5.857,39 | 230 / 15 | $3.676,94 | 230 / 7 |
| G.I. Hemorrhage W Cc | 69 | 149 / 26 | $53.202,60 | 2226 / 25 | $6.708,33 | 1300 / 16 | $5.690,64 | 1297 / 20 |
| G.I. Hemorrhage W Mcc | 24 | 97 / 25 | $87.121,00 | 1496 / 29 | $11.704,90 | 652 / 16 | $10.066,00 | 653 / 10 |
| G.I. Obstruction W Cc | 24 | 68 / 19 | $47.041,30 | 1563 / 24 | $5.898,00 | 899 / 10 | $4.951,92 | 897 / 19 |
| G.I. Obstruction W/O Cc/Mcc | 23 | 48 / 14 | $37.152,80 | 1208 / 24 | $4.069,96 | 588 / 8 | $3.064,35 | 587 / 19 |
| Heart Failure & Shock W Cc | 88 | 190 / 35 | $55.548,00 | 2622 / 33 | $6.570,48 | 1347 / 15 | $5.598,50 | 1343 / 17 |
| Heart Failure & Shock W Mcc | 93 | 191 / 34 | $81.018,90 | 2461 / 33 | $10.108,80 | 1661 / 17 | $9.399,01 | 1656 / 21 |
| Heart Failure & Shock W/O Cc/Mcc | 28 | 82 / 31 | $40.726,00 | 1900 / 30 | $4.476,64 | 682 / 14 | $3.454,25 | 679 / 16 |
| Hip & Femur Procedures Except Major Joint W Cc | 46 | 97 / 22 | $82.673,10 | 1742 / 33 | $13.529,10 | 1176 / 22 | $11.559,90 | 1162 / 18 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 16 | $117.614,00 | 784 / 12 | $18.976,30 | 469 / 8 | $17.930,70 | 466 / 9 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 18 | $67.805,30 | 773 / 26 | $15.093,00 | 165 / 33 | $8.032,42 | 165 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 42 | 82 / 17 | $195.346,00 | 1241 / 26 | $34.766,90 | 881 / 16 | $33.700,80 | 875 / 22 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 46 | 136 / 29 | $56.416,70 | 1829 / 20 | $7.202,54 | 1045 / 19 | $5.904,26 | 1042 / 18 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 30 | $57.948,70 | 1108 / 5 | $10.914,60 | 670 / 9 | $9.802,56 | 669 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 24 | $41.388,60 | 1379 / 11 | $5.218,18 | 632 / 17 | $3.779,00 | 628 / 13 |
| Kidney & Urinary Tract Infections W Mcc | 32 | 112 / 26 | $53.732,00 | 1724 / 15 | $7.451,53 | 1037 / 16 | $6.459,59 | 1034 / 16 |
| Kidney & Urinary Tract Infections W/O Mcc | 72 | 161 / 29 | $41.580,50 | 2524 / 20 | $5.153,49 | 1296 / 15 | $4.164,39 | 1287 / 20 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 17 | $82.468,20 | 744 / 24 | $11.047,50 | 556 / 11 | $9.904,00 | 554 / 15 |
| Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 18 | $132.972,00 | 808 / 24 | $22.353,60 | 593 / 9 | $21.243,70 | 593 / 11 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 24 | 49 / 12 | $60.581,20 | 1015 / 22 | $8.413,00 | 291 / 16 | $6.113,92 | 290 / 7 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 13 | 40 / 11 | $63.675,70 | 433 / 14 | $7.967,00 | 224 / 7 | $7.176,69 | 224 / 9 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 9 | $94.663,80 | 734 / 10 | $13.957,80 | 456 / 4 | $12.485,60 | 453 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 297 | 271 / 11 | $75.460,50 | 2122 / 33 | $14.058,10 | 1774 / 16 | $12.786,10 | 1734 / 22 |
| Major Small & Large Bowel Procedures W Cc | 26 | 82 / 21 | $94.762,60 | 1167 / 16 | $16.748,90 | 986 / 12 | $15.747,60 | 975 / 18 |
| Major Small & Large Bowel Procedures W Mcc | 31 | 54 / 15 | $267.655,00 | 1193 / 35 | $38.749,40 | 990 / 30 | $37.381,20 | 988 / 34 |
| Medical Back Problems W/O Mcc | 35 | 86 / 22 | $50.458,70 | 1407 / 34 | $6.229,91 | 673 / 22 | $4.522,29 | 671 / 18 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 32 | $47.602,60 | 1453 / 13 | $7.423,90 | 887 / 12 | $6.758,62 | 884 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 32 | $46.479,40 | 2467 / 39 | $4.879,50 | 1160 / 18 | $3.782,73 | 1157 / 18 |
| Nervous System Neoplasms W Mcc | 13 | 35 / 8 | $80.021,80 | 288 / 11 | $11.703,50 | 25 / 10 | $6.475,23 | 25 / 1 |
| Other Circulatory System Diagnoses W Mcc | 38 | 78 / 10 | $119.905,00 | 1337 / 38 | $14.593,70 | 1018 / 29 | $13.665,90 | 1011 / 36 |
| Other Circulatory System O.R. Procedures | 12 | 43 / 15 | $110.797,00 | 348 / 9 | $18.092,70 | 212 / 5 | $17.333,80 | 212 / 9 |
| Other Digestive System Diagnoses W Cc | 31 | 66 / 16 | $65.702,50 | 1385 / 42 | $6.483,94 | 607 / 10 | $5.413,32 | 604 / 14 |
| Other Disorders Of Nervous System W Cc | 13 | 43 / 15 | $52.532,80 | 570 / 15 | $5.976,77 | 256 / 6 | $5.109,08 | 256 / 12 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 21 | 82 / 16 | $47.045,60 | 724 / 9 | $6.624,95 | 376 / 11 | $5.778,86 | 376 / 12 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 30 | 71 / 14 | $70.904,60 | 960 / 14 | $10.367,30 | 607 / 12 | $9.570,57 | 605 / 15 |
| Other Kidney & Urinary Tract Procedures W Mcc | 13 | 25 / 5 | $150.490,00 | 193 / 5 | $24.469,00 | 166 / 4 | $23.722,60 | 165 / 7 |
| Other Vascular Procedures W Cc | 13 | 89 / 28 | $129.992,00 | 1013 / 36 | $16.722,40 | 480 / 10 | $14.829,50 | 477 / 7 |
| Other Vascular Procedures W Mcc | 17 | 80 / 22 | $129.857,00 | 786 / 17 | $21.388,30 | 488 / 9 | $20.606,70 | 486 / 11 |
| Peripheral Vascular Disorders W Cc | 31 | 53 / 18 | $42.182,70 | 1042 / 12 | $6.379,65 | 623 / 13 | $5.603,45 | 620 / 18 |
| Peripheral Vascular Disorders W Mcc | 15 | 34 / 11 | $92.012,50 | 574 / 25 | $11.353,30 | 461 / 19 | $10.426,10 | 461 / 23 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 12 | $41.751,20 | 863 / 17 | $4.257,17 | 408 / 3 | $3.617,92 | 407 / 7 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 14 | 40 / 9 | $37.279,70 | 353 / 7 | $6.390,29 | 169 / 3 | $5.749,71 | 169 / 6 |
| Pulmonary Edema & Respiratory Failure | 24 | 179 / 30 | $61.524,90 | 1955 / 13 | $8.494,17 | 1455 / 18 | $7.744,62 | 1450 / 26 |
| Pulmonary Embolism W/O Mcc | 20 | 54 / 17 | $56.227,80 | 1202 / 15 | $6.563,75 | 756 / 10 | $5.682,60 | 753 / 16 |
| Red Blood Cell Disorders W Mcc | 19 | 52 / 15 | $86.678,10 | 1081 / 36 | $9.692,05 | 800 / 23 | $9.019,74 | 796 / 30 |
| Red Blood Cell Disorders W/O Mcc | 36 | 107 / 30 | $44.759,20 | 1843 / 27 | $5.354,28 | 875 / 13 | $4.380,81 | 870 / 19 |
| Renal Failure W Cc | 92 | 129 / 17 | $49.098,90 | 2241 / 20 | $6.426,39 | 1365 / 16 | $5.570,62 | 1357 / 21 |
| Renal Failure W Mcc | 66 | 129 / 17 | $79.694,80 | 1991 / 26 | $10.107,80 | 1086 / 13 | $9.094,68 | 1086 / 14 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 16 | $31.285,70 | 750 / 5 | $4.275,33 | 192 / 5 | $2.916,00 | 191 / 5 |
| Respiratory Infections & Inflammations W Cc | 25 | 63 / 17 | $54.377,00 | 1203 / 10 | $8.999,80 | 799 / 10 | $7.990,32 | 794 / 11 |
| Respiratory Infections & Inflammations W Mcc | 30 | 106 / 23 | $93.182,40 | 1618 / 25 | $13.214,10 | 1100 / 18 | $12.069,50 | 1086 / 17 |
| Respiratory Neoplasms W Cc | 13 | 34 / 15 | $63.128,80 | 455 / 11 | $7.908,92 | 210 / 7 | $6.844,23 | 209 / 10 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 31 | 100 / 23 | $92.239,40 | 1430 / 13 | $13.725,20 | 578 / 4 | $12.640,60 | 570 / 3 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 19 | $216.693,00 | 794 / 16 | $37.136,20 | 628 / 12 | $35.444,50 | 627 / 13 |
| Revision Of Hip Or Knee Replacement W Cc | 14 | 72 / 10 | $110.209,00 | 498 / 10 | $22.374,10 | 368 / 5 | $20.311,90 | 367 / 5 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 21 | $206.397,00 | 769 / 17 | $39.520,10 | 580 / 9 | $38.271,70 | 579 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 198 | 318 / 28 | $94.208,50 | 2589 / 30 | $12.936,10 | 1871 / 20 | $11.950,80 | 1836 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 94 | 113 / 13 | $56.547,00 | 2366 / 24 | $7.089,82 | 1418 / 13 | $6.130,03 | 1413 / 16 |
| Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 37 | $44.702,20 | 2450 / 17 | $6.517,82 | 1472 / 14 | $5.484,53 | 1466 / 19 |
| Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 43 | $70.448,40 | 2239 / 20 | $9.730,29 | 1671 / 15 | $9.083,48 | 1671 / 25 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 31 | $38.114,80 | 1775 / 19 | $5.036,23 | 561 / 20 | $3.288,00 | 559 / 12 |
| Spinal Fusion Except Cervical W/O Mcc | 16 | 178 / 19 | $160.912,00 | 1163 / 26 | $30.008,90 | 780 / 18 | $23.923,50 | 776 / 11 |
| Syncope & Collapse | 49 | 120 / 29 | $47.978,20 | 1823 / 40 | $5.248,16 | 618 / 23 | $3.666,53 | 615 / 15 |
| Transient Ischemia | 31 | 94 / 28 | $41.741,10 | 1474 / 28 | $4.645,48 | 654 / 13 | $3.535,10 | 650 / 14 |
| Transurethral Procedures W Cc | 18 | 23 / 10 | $73.744,00 | 351 / 23 | $8.500,39 | 219 / 7 | $7.510,50 | 219 / 14 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 16 | 30 / 9 | $36.581,90 | 318 / 9 | $5.133,25 | 120 / 10 | $3.318,00 | 120 / 9 | Total 97 procedures | 3.396 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.